Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.97 / $4,043.00 / $10,296.00	Facility		$1,292.97	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.44 / $1,302.85 / $1,872.23	Professional		$1,167.44	$1,302.85	$1,872.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.55 / $1,183.73 / $2,584.17	Professional		$905.55	$1,183.73	$2,584.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,523.17 / $1,523.17 / $37,499.62	Facility		$1,523.17	$1,523.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,523.17 / $1,523.17 / $1,523.17	Professional		$1,523.17	$1,523.17	$1,523.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,245.83 / $1,245.83 / $7,227.90	Facility		$1,245.83	$1,245.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.38 / $1,888.46 / $4,032.36	Professional		$1,108.38	$1,888.46	$4,032.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,670.00 / $2,892.44	Facility		$319.00	$1,670.00	$2,892.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.98 / $1,542.64 / $2,223.96	Professional		$1,156.98	$1,542.64	$2,223.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.34 / $1,033.27 / $1,845.10	Professional		$772.34	$1,033.27	$1,845.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,245.83 / $74,999.25	Facility		$555.00	$1,245.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,131.90 / $1,849.71 / $4,032.36	Professional		$1,131.90	$1,849.71	$4,032.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,046.40 / $1,417.95 / $3,252.58	Professional		$1,046.40	$1,417.95	$3,252.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,353.33 / $1,353.33 / $3,618.38	Facility		$1,353.33	$1,353.33	$3,618.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $772.34 / $1,544.74 / $2,704.01	Professional		$772.34	$1,544.74	$2,704.01